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Self-injury and people with learning disabilities Bristol Crisis Service for Women and Norah Fry Research Centre, University of Bristol 2006 – 2009 Funded by The Big Lottery Fund

Self-injury and people with learning disabilities

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Self-injury and people with learning disabilities. Bristol Crisis Service for Women and Norah Fry Research Centre, University of Bristol 2006 – 2009 Funded by The Big Lottery Fund. The purpose of the research. - PowerPoint PPT Presentation

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Page 1: Self-injury and people with learning disabilities

Self-injury and people with learning disabilities

Bristol Crisis Service for Women and

Norah Fry Research Centre, University of Bristol

2006 – 2009

Funded by The Big Lottery Fund

Page 2: Self-injury and people with learning disabilities

Bristol Crisis Service for Women and the Norah Fry Research Centre, University of Bristol, August 2008

The purpose of the research

To find out more about the experiences of people with learning disabilities who self-injure, and their carers/supporters

To explore in what ways they have been supported by the services and professionals with whom they are involved

To identify ideas, and then produce resources, for training and policy development.

Page 3: Self-injury and people with learning disabilities

Bristol Crisis Service for Women and the Norah Fry Research Centre, University of Bristol, August 2008

How we are doing the research

Recruitment of people with learning disabilities who self-injure

Creative approach to ‘interviews’

Up to four ‘interview’ visits

Interviews with family members and/or professionals, with consent

Grounded theory analysis using MaxQDA

Page 4: Self-injury and people with learning disabilities

Bristol Crisis Service for Women and the Norah Fry Research Centre, University of Bristol, August 2008

Why people with learning disabilities say they self-injure

1. As a way of coping with difficult feelings or particularly strong feelings

2. Being in circumstances that might make a person want to self-injure

3. Wanting to achieve something as a result of the self-injury

4. The lasting impact of past experiences

5. As a way of communicating

Page 5: Self-injury and people with learning disabilities

Bristol Crisis Service for Women and the Norah Fry Research Centre, University of Bristol, August 2008

1. As a way of coping with difficult feelings or particularly strong feelings

Feelings most frequently mentioned:

angry

frustrated

sad

stressed/wound up

confused

distressed

depressed

fed up

worried / anxious

Page 6: Self-injury and people with learning disabilities

Bristol Crisis Service for Women and the Norah Fry Research Centre, University of Bristol, August 2008

2. Being in circumstances that might make the person want to self-injureBeing bored

Too much going on

Being over-excited

Being bullied

Being involved in, or witnessing arguments

People talking down to the person with ld

Not being able to do what the person wants to

Being in a situation where the person feels they are not coping

When someone has hurt their feelings

When bad things happen to someone else

Not liking what was happening at the time

Page 7: Self-injury and people with learning disabilities

Bristol Crisis Service for Women and the Norah Fry Research Centre, University of Bristol, August 2008

3. Wanting to achieve something as a result of the self-injuryA release

To show how feeling underneath

To calm down

To blank everything out

To control others

Wanting someone to care for them/be nice to them

To avoid doing something

Wanting to sleep

Wanting to be noticed

Feeling at the time they wanted to kill themselves

To show someone else how much they’d hurt and upset them

Page 8: Self-injury and people with learning disabilities

Bristol Crisis Service for Women and the Norah Fry Research Centre, University of Bristol, August 2008

4. The lasting impact of past experiences

Childhood issues: abuseneglect

Past issues regarding uncertainty: moving house, change of school, moving into new familyparent dying

Major changes occurring in the present that bring back memories of difficult past experiences

Page 9: Self-injury and people with learning disabilities

Bristol Crisis Service for Women and the Norah Fry Research Centre, University of Bristol, August 2008

5. As a way of communicating

When others don’t seem to be listening

When the person with learning disabilities has difficulty in communicating

Page 10: Self-injury and people with learning disabilities

Bristol Crisis Service for Women and the Norah Fry Research Centre, University of Bristol, August 2008

Final comments

We need to view self-injury as a complex and variable form of expression, and to understand its function and meaning from the point of view of the person concerned

People with learning disabilities are able to give insightful comments about their self-injury

The principles of choice, self-determination and ‘voice’ are vital

Page 11: Self-injury and people with learning disabilities

Bristol Crisis Service for Women and the Norah Fry Research Centre, University of Bristol, August 2008

Contact Details

Pauline Heslop, Senior Research FellowNorah Fry Research Centre, 3 Priory Road, Bristol, BS8 [email protected]: +44 (0) 117 33 10980

Lorna Henry, Research AssociateBristol Crisis Service for WomenPO Box 654, Bristol, BS99 [email protected]: +44 (0) 0117 33 10986

Sandra Dowling, Research AssociateNorah Fry Research Centre, 3 Priory Road, Bristol, BS8 [email protected]